NPI | 1003237330 |
---|---|
Doing Business As | KIDMED MECHANICSVILLE |
Entity Type | Organization |
Authorized Contact | MARK A FLANZENBAUM President 804-592-5437 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2014-01-06 |
Last Update Date | 2023-08-30 |